Rosacea

• Flushing – one of the earliest signs of rosacea is red flushing of the face, which may come and go.
• Persistent redness – this is the most common sign of rosacea.
• Bumps and pimples – small red solid bumps or pus-filled pimples may develop. Although the pimples resemble acne, blackheads are absent.
• Facial veins – with time blood vessels on the skin may become distinct.

• Eye irritation – the eyes may be irritated and appear watery or bloodshot. The eyelids may also become red and swollen, and styes are common. Severe cases may result in corneal damage.
• Burning and itching of the affected areas of the skin.
• Dry appearance – the skin may be rough, giving an appearance of dryness.
• Plaques – raised red patches (known as plaques) may develop.
• Skin thickening – the skin, most commonly on the nose, may thicken and enlarge from excess tissue. This condition (known as rhinophyma) affects men more than women.
• Swelling – facial swelling (known as edema) may accompany other signs of rosacea, or may occur independently.

The cause of rosacea is unknown. It appears that the blood vessels dilate and the oil glands become inflamed in response to heat, certain foods, stress and alcohol. Rosacea is stubborn and lasts for years. 

• Eye irritation – the eyes may be irritated and appear watery or bloodshot. The eyelids may also become red and swollen, and styes are common. Severe cases may result in corneal damage.
• Burning and itching of the affected areas of the skin.
• Dry appearance – the skin may be rough, giving an appearance of dryness.
• Plaques – raised red patches (known as plaques) may develop.
• Skin thickening – the skin, most commonly on the nose, may thicken and enlarge from excess tissue. This condition (known as rhinophyma) affects men more than women.
• Swelling – facial swelling (known as edema) may accompany other signs of rosacea, or may occur independently.

Prevention – by avoiding foods or beverages that trigger facial flushing, including alcohol, spicy foods, caffeine products (such as coffee, tea, cola and chocolate), hot soups, and hot drinks, this can be controlled. 

Acne treatment – some medications help to control the acnegenic aspects of rosacea; however, they do not cure the condition. Most patients will be candidates for the “Triple” regime:

• Minocin 50 mg is an oral antibiotic which is taken twice a day for three months. If the skin is looking good and not breaking out, then the patient begins weaning off the pills – taking only one pill a day. Then if the skin is still good, the patient takes one pill every other day, and then skips a few days until they do not need to take them anymore.
• 1% Hydrocortisone powder in Sulfacet R lotion is applied SPARINGLY to the individual bumps or pimples at night. It is very drying and should not be used over the entire face. This prescription is stopped when the bumps and pimples clear up.
• 2% Clindamycin, ¼% Hydrocortisone powder in Nutraderm lotion is an antibiotic and mild Cortisone prescription. It is applied LIBERALLY every morning for the initial three months. Then, as the skin improves, the cream is gradually reduced in the same fashion as the oral medication. Stronger Cortisones can actually CAUSE rosacea or lead to “rebound” so, although tempting, because they are effective on a short term basis, they should not be used.
• more recently, some new topical agents have become available for rosacea, including Onreltea and Rosiver. Some patients can get considerable improvement from these new topicals.

Redness and Blood Vessels – IPL, Dye laser, Help-G laser, or Cutera Excel laser treatments are used to remove dilated blood vessels.